Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $147.63 / $147.63	Facility		$147.63	$147.63	$147.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $127.51 / $147.63	Professional		$116.68	$127.51	$147.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.41 / $303.75 / $347.52	Facility		$235.41	$303.75	$347.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $175.88 / $175.88	Professional		$170.07	$175.88	$175.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $166.52	Professional		$121.56	$121.56	$166.52
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $197.44 / $197.44 / $197.44	Facility		$197.44	$197.44	$197.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $197.44 / $267.06	Professional		$188.68	$197.44	$267.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $186.99 / $186.99	Professional		$186.99	$186.99	$186.99
United Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $151.53 / $202.95	Professional		$115.64	$151.53	$202.95